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ED Management: the Monthly Update on Emergency Department Management

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https://www.readbyqxmd.com/read/29160985/emergency-medicine-stakeholders-voice-priorities-for-healthcare-reform-urge-individual-clinicians-to-get-involved
#1
Rebecca Parker, Karen Wiley
With President Trump and congressional Republicans promising to repeal or replace parts of the entirety of the Affordable Care Act (ACA), emergency medicine stakeholders are making sure lawmakers know what provisions in the law must remain intact, and what new reforms are needed. They also are urging emergency medicine clinicians to stay informed on the issues, and to advocate for their interests. The American College of Emergency Physicians (ACEP) wants to ensure that emergency services remain essential covered benefits, and that freestanding EDs and other emerging healthcare delivery models are supported...
April 2017: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/29160984/in-search-of-effective-solutions-to-curb-workplace-violence
#2
Judith Arnetz, Jane Lipscomb, Joanne Ogaitis
No abstract text is available yet for this article.
April 2017: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/29160983/eds-report-strong-surges-in-flu-related-volume-straining-capacity-in-some-regions
#3
David Burmeister, Mohamud Daya, Christopher Sampson
No abstract text is available yet for this article.
April 2017: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/29211411/using-telemedicine-to-address-crowding-in-the-ed
#4
Benjamin Guss, David Mishkin, Rahul Sharma
No abstract text is available yet for this article.
November 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/29211410/pushing-the-envelope-on-stemi-response
#5
J Lee Garvey, Christopher Granger, W Frank Peacock
New findings from the Mission: Lifeline STEMI Systems Accelerator program suggest that a regionalized approach to ST-segment elevation myocardial infarctions (STEMI) can cut time-to-treatment for patients modestly, thereby improving the prospects for better outcomes. The approach encourages hospitals, emergency medical services (EMS) and cardiologists in a region to work together to optimize treatment and efficiency so that patients in need of percutaneous coronary intervention (PCI) receive this care more expeditiously...
November 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/29215224/magnified-bacteria-powerful-motivator-for-hand-hygiene-compliance
#6
Ashley Gregory
Infection prevention specialists at Henry Ford Hospital in Detroit have found that showing healthcare workers magnified pictures of bacteria found ontheir hands and in their surrounding units can be a powerful motivator for improved hand hygiene compliance. When tested in four units during a one-month period, the intervention boosted hand hygiene compliance by an average of 24%. Investigators note that to be successful, the intervention must be paired with an effective compliance monitoring program. For the study, investigators visited each unit twice per week, during which they would swab various items as well as employees' hands using and adenosine triphosphate (ATP) meter, a hand-held device that measures living organisms...
August 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/29211415/education-creates-welcoming-environment-for-transgender-patients
#7
Jesse Ehrenfeld, Samantha Gridley
The ED often is the access point of choice for transgender patients who may be reluctant to interact with providers. Experts say there is a need for training and education of how to present a gender-affirming healthcare environment. Recommended steps include a review of policies, along with corresponding changes to electronic and paper intake forms to ensure that the language used is inclusive of all genders. While blanket discrimination may be declining, experts note that some providers are uncertain about how to interact with a transgender patient...
August 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/29211414/training-drills-pivotal-in-mounting-response-to-orlando-shooting
#8
Eric Albert, Timothy Bullard
Emergency providers at Orlando Regional Medical Center in Orlando. FL, faced multiple challenges in responding to the worst mass shooting in U.S. history. As the scene of the shooting was only three blocks away from the hospital, there was little time to prepare when notified that victims would begin arriving shortly after 2 a.m. on June 12. Also, fears of a gunman near the hospital briefly put the ED on lock down. However, using the incident command system, the hospital was able to mobilize quickly, receiving 44 patients, nine of whom died shortly after arrival...
August 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27439227/ed-based-counseling-sessions-reduce-risky-opioid-use-among-certain-patients
#9
RANDOMIZED CONTROLLED TRIAL
(no author information available yet)
Investigators at the University of Michigan have shown promising results from an ED-based intervention designed to curb risky opioid use among patients who have reported opioid misuse within the previous three months. The intervention includes a 30-minute counseling session with a therapist who utilizes motivational interviewing techniques to strengthen their desire to move away from opioid use behaviors. The randomized clinical trial included 204 emergency patients, divided between patients receiving printed educational materials and patients receiving printed materials as well as counseling sessions...
July 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27439226/fresh-approach-for-critically-ill-patients-with-time-sensitive-needs
#10
(no author information available yet)
To meet the needs of critically ill patients with time-sensitive needs, the University of Maryland Medical Center (UMMC) created the Critical Care Resuscitation Unit (CCRU), a six-bed, short-stay ICU designed to accelerate care to resource-heavy patients who require immediate evaluation and treatment. The CCRU is modeled after UMMC's trauma resuscitation unit, but with resources and staff geared toward non-trauma, critically ill patients, many of whom require life-saving care. The unit is largely staffed by emergency providers who have undergone additional training in critical care...
July 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27439225/take-a-multidisciplinary-team-based-approach-on-elder-abuse
#11
(no author information available yet)
While EDs are well positioned to identify incidents of elder abuse, providers often miss the opportunity. Experts say providers find only one in every 24 cases, and that the pendulum must swing toward over-detection. Investigators acknowledge elder abuse is difficult to confirm, given that disease processes can explain some of the signs. Further, older adults are often reluctant to report abuse because they fear they will be removed from their homes or separated from their caregivers. Given the complexity involved with addressing the issue, investigators recommend EDs establish a multidisciplinary approach to the problem...
July 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27295820/tackling-disrespectful-unprofessional-provider-behaviors
#12
(no author information available yet)
To address problematic provider behaviors that can affect patient safety, physician leaders at Vanderbilt University Medical Center (VUMC) developed the Coworker Observation Reporting System (CORS), a systematized approach for retrieving and addressing concerns about providers reported by staff. To encourage staff members to report concerns, they have to trust that the organization is going to respond, and they also have to feel that they have a certain element of psychological safety. Selected peer messengers share staff complaints with providers, enabling them to offer their perspectives on the issues or events in question...
June 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27295819/advance-care-planning-with-and-without-an-annual-wellness-visit
#13
Caral Edelberg
No abstract text is available yet for this article.
June 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27295818/new-tool-improves-processes-streamlines-operations
#14
(no author information available yet)
A one-page tool has shown promise for facilitating shared decision-making between clinicians and patients who present to the ED with low-risk chest pain. The tool, dubbed Chest Pain Choice, was developed by researchers at the Mayo Clinic. It is designed to more effectively communicate risk to patients so that they can make more informed decisions with their providers regarding treatment options. Investigators devised a study involving 898 low-risk chest pain patients in six EDs in five states. Half the patients were randomized to standard physician consultations and half received consultations facilitated by the Chest Pain Choice tool...
June 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27295817/innovative-program-targets-five-common-pain-syndromes-with-non-opioid-alternatives
#15
(no author information available yet)
To combat the prescription opioid problem, St. Joseph's Healthcare System in Paterson, NJ, has developed a new program that gives providers options they can use to effectively alleviate pain without resorting to highly addictive medication. Launched in January 2016 in the ED at St. Joseph's Regional Medical Center (SJRMC), the Alternatives to Opioids (ALTO) program utilizes protocols that primarily target five common conditions: renal colic, sciatica, headaches, musculoskeletal pain, and extremity fractures...
June 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27266001/fresh-policies-and-procedures-transparency-fuel-ed-turnaround
#16
(no author information available yet)
The ED at Banner Payson Medical Center in Payson, AZ, has charted dramatic improvements on key metrics through a range of staff and policy changes. In just a few months, the ED has halved wait times, patient satisfaction has improved, and daily volume is up. Administrators say the secret to the success of the effort is a move to be transparent by posting key metrics regarding patient flow, a tactic that has helped the team pull together and feel a sense of accomplishment when performance goals are achieved...
May 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27266000/new-opioid-prescribing-guidelines-favor-non-opioid-alternatives
#17
(no author information available yet)
Determined to make a dent in the growing problem of opioid addiction, the CDC has unveiled new guidelines for opioid prescribing for chronic pain. The recommendations urge providers to be more judicious in their prescribing, opting for opioids only after carefully weighing substantial risks and benefits. Public health authorities note the rampant use and misuse of opioids have "blurred the lines" between prescription opioids and illicit opioids. The new guidelines are designed to help frontline providers balance the need to manage their patients' chronic pain with the duty to curb dangerous prescribing practices...
May 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27265999/sounding-the-alarm-about-suicide-risk
#18
(no author information available yet)
The Joint Commission (TJC) issued a Sentinel Event Alert, noting that in too many instances healthcare providers are not recognizing signs of suicide risk in patients who present for care. While the agency calls on all frontline providers to screen for suicide risk, experts note the issue is of particular importance to EDs because this is one of the most likely places for patients at high risk for suicide to present. Beyond identifying risk, experts note emergency providers and staff must receive training to effectively manage patients at risk for suicide...
May 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27093768/vendors-provide-advice-on-emr-usability
#19
(no author information available yet)
No abstract text is available yet for this article.
April 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/27093767/new-guidance-on-imaging-tests-for-a-range-of-chest-pain-scenarios
#20
(no author information available yet)
New recommendations from the American College of Cardiology and the American College of Radiology offer guidance to emergency providers on which imaging tests to use in 20 different clinical scenarios involving chest pain. For each clinical scenario, an expert panel rated the appropriateness of a range of imaging modalities as rarely appropriate (R), may be appropriate (M), or appropriate (A). The guidelines are constructed to flow from the clinician's judgment as to the probable cause of the chest pain. The recommendations for each clinical scenario are condensed into tables that can be fashioned into notecards or a smartphone app for quick reference...
April 2016: ED Management: the Monthly Update on Emergency Department Management
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